CCHS Shadow Days

CCHS Shadow Days
We are delighted to have your child as our guest!

As with our own students, our number one concern is your student's health and safety while under our care. While we never expect an emergency to arise, it is important for us to have the following information to allow us to respond to situations appropriately and promptly or to contact you, if necessary.

Please note that Shadow Days are available to 8th graders only. If you are currently enrolled in another high school, please contact our front office at (209)524-9611 to schedule a campus tour.
Student's Name*

First NameLast Name
Student's Phone Number
Please enter a valid phone number.
Parent's Name*

First NameLast Name
Parent's Phone Number
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*

FemaleMale
Current School*
Select your Shadow Day:*

Parent Information
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Doctor's Name*

First NameLast Name
Doctor's Phone Number*
Please enter a valid phone number.
Health Insurance Provider*
Health Insurance Policy Number*
Does your child have any health concerns or dietary restrictions? Please list all below.*

Please tell us about your child's interest
What subjects is your child interested in?
What co-circular activities is your child interested in? (FFA, Dance, Art, Academic Decathalon, Science Olympiad, Athletics, ect.)
Is your child interested in experiencing honors or college prep classes?
Please note that your selection is not guaranteed
Is there a current CCHS Freshman or Sophomore that your student would like to be paired with?
Please note that this request is not guaranteed and visiting 8th graders will only be paired with a freshmen or sophomore student.
Parent/Guardian Signature*

Clear
Should be Empty:

Parent Information